HomeMy WebLinkAbout959400320 - 280 HIDDENDALE DR - FLOODG~
JEhFERSON COUNTY
FLOOD AF:EA CERT t F I CA~I-E
Federal. Emergency Management agency
National Flood Insurance Program
D I I?ECT I ONS
The responsible official shaLL complete those portions of
Section 1 where necessary information is available in the county
records. In ~lhe absence of sufficient data, a registered
professional engineer, architect, or surveyor shall, complete ~Ehis
section. Section 2 shaLL be completed by the responsible official.
Section 3 shaLL be completed by the building official.
SECTION 1 I
APPL I CAN~r : ~ r ~ ~~~~- eQr
ADDRESS : ~Q I~C~C 1 ~~ ~~ ~ ~3 7
TELEPHONE: (home) y~~~ -,~`~7~ (business) 7~--79'r/~
!:EPRESENTATIVE (contact):
ADDRESS: _
TELEPHONE: (home)
PF'.OPERTY DESCRIPTION
GENERAL LOCA'I' [ ON : i C~~ P ~ C :14 I C~ ,LLB - Q~~-,) ~ ~ Dm P
LEGAL: _.
Identifier Number : q~q y ~~ ~a~~
Tax Parcel Number (from property tax statemerrL):
Real Property Description (-From property tax statement) : [,p~ oZC~
SITE'S DISTANCE Ff:OM t^JATER6'!AY
~ u ~~ ~f.
EASE FLOOD ELEVATION (100 year f L ood L eveL) : / 7 ~ ~ ~-~
~S1TE'S ELEVATION (grade level): C~~dUk. ~-r ~~<^ 9 ~/ ,,,j
Q, G ~J~ /et v (3~ fU d ~ ~ ~ ~o it~trcXQ / ZO~s f
S i TE U! 1 TH 1 N FLOOD6'VAY : ._-%
PQOPOSAL
PP.OPOSED USE: ~ F?esiderrli.aL ^ 1`~9obile Florae ^ ~,`omnrerciaL ^ Industrial
^ Agr icuLturaL ^ Storage ^ O Lher (iden-L-if y
FLOODPROOF I NG f:9EASUf?ES
Landfill
Pole, pier, or pile
~ParalLeL foundation walls
Extended walls and basemenL-
ALternative (identify):
(business)
YES NO
^ ^
^ ~ ^
^ ^
^ ^
O ^
~c
F,1.A.
PANEL AND FLOOD SOURCE: S~ ~t~(
ZONE: ~ Z _
r,~AP
ACKNOL"JLEDGEP:1ENT
~,
I verif y the information provided in Sec(:ion 1 is Lrue and
correct-.
~~~.
sLgn~ture
I;EGISTERED PROFESSIONAL;~~
TITLE:
.~r~~^ ~
c~a t e
LICENSE NUMBER:
SECTION 2 I
CONDITIONS OF APPF'.OVAL
1. The height of the Lowest floor shall be ~~~~- ahn e
~S
o ~ ~~ ~~ ~~
.~ y
ACKNOI"JLED GEAIENT
The degree of flood protecEion required >,y
considered reasonable for regulatory purposes.
approval shall not crea-L-e liabiLi~Ey on "the part
for y f Look ctair~~ge Lha t results from reliance
. ~~~
~~~
sib ture
RESPpl~}~ I f~LE CFF 1 C 1 __
TITLE : _~.___~_
sECTroN 3
AS-BUILT CERTIFICATION
tllLS Cer'tLf LCate Ls
Tl~is cer~Ei-Ficate
o-F Jef f crson County
on -L-his certificate.
~~~
d. -e
"a verify that the s L-ruci-ure compL i es >,vi- I-h the coed i L---ions of the
flood area cert if i ca"L-e .
signal:ure
da1:e
EUILDING OFFICIAL: